Provider Demographics
NPI:1013894229
Name:SNEAD, SHAUN LAMONT
Entity type:Individual
Prefix:
First Name:SHAUN
Middle Name:LAMONT
Last Name:SNEAD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 RACE AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-1857
Mailing Address - Country:US
Mailing Address - Phone:631-431-4251
Mailing Address - Fax:
Practice Address - Street 1:1401 RACE AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-1857
Practice Address - Country:US
Practice Address - Phone:631-431-4251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor